Inpatient treatment: Knowing when to refer can save lives

Posted: February 14, 2012 - 12:36pm

As a referring professional who has worked with Rogers for decades, Tom Shiltz, MS, CSAC, understands when a more intensive level of care can help his clients achieve their long-term recovery goals. Tom, a licensed professional counselor, treats adolescents and adults affected by eating disorders, addictions and trauma. Over the years, he has referred dozens of clients to Rogers. Tom knows how important it is for his clients to be included in the discussions about their treatment and what type of treatment is best for their current needs.

Getting symptoms stabilized

“If they can’t go to school, or work, and they’re not thinking clearly I say, ‘Let’s take some time to get those symptoms stabilized so we can get back to therapy,’” Tom said. “I try to get them to see the value of that time and let them know that I’m not quitting on them. It’s a very clear, limited time.”

Tom was pleased to hear about the new inpatient units that will soon replace the current inpatient facilities at Rogers’ Oconomowoc campus. “It just goes to show that Rogers is dedicated to not only investing in their staff, but in their facilities as well. It really makes a difference to clients when they see the amount of effort being made for their comfort and safety.”

Part of the plan

Tom makes sure that his clients know what to expect and when he might make a recommendation for additional treatment options. For his many clients who have eating disorders, Tom helps each individual determine what they would view as problematic. Is it falling below a certain weight? Purging behaviors? Are they too weak for common activities like climbing a flight of stairs?

He works with them to celebrate the progress they’re making and increase their awareness of when additional help might be needed. If his client struggles with addiction, have they had a crisis where their drinking clearly presents a danger to themselves or others? Are they unable to manage a situation that led them to relapse? Are they suicidal?

“I help them think ahead into the future”

Whatever the situation may be, Tom tries to help his clients understand their treatment options and what to expect so there are no surprises, even if additional problems arise. “There are opportunities to intervene after a crisis. If they have the support of their family, and they’ve been educated on their illness, they will be more receptive to change. I help them weigh the pros and cons, depending on where they are,” Tom said. “I help them think ahead into the future.”

With a strong support system and the resources of Rogers, patients are able to focus on their recovery and reclaiming their lives.